Organization
MAVSTAR MEDICAL TRANSPORTATION, INC.
Active
Other names
Maverick Medical Transportation Company
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1612 S BROADWAY, BUILDING 2, STE. 200, CARROLLTON, TX 75006-8915
(469) 892-0024
(817) 380-6405
Mailing address
1606 W WHISPERING WIND DR, PHOENIX, AZ 85085-1322
(817) 380-6400
(817) 380-6405
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
10/04/2023
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